Reimbursement and Payment Methodologies

CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for calculating MS-DRG relative weights.

NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the country. But have you considered that RIS can also help hone your professional speaking skills? 

Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until April 5, 2021.

Get a fresh perspective on revenue integrity for the new year.

Christian S. Gabriel breaks down CMS’ expanded coverage for hospital outpatient telehealth.

Take a look at the revenue integrity impact of CMS’ changes to telehealth and E/M.

Understand the ins and outs of CMS’ major new policies.

Learn how changes to 340B reimbursement could interact with policies under the Most Favored Nation model.

The 2020 calendar year was certainly challenging for revenue integrity professionals, as the novel coronavirus (COVID-19) pandemic stressed the workforce, necessitated new working environments, and led to frequent regulatory updates. Through case studies, news, and analysis in the weekly Revenue Integrity Insider enewsletter and the quarterly NAHRI Journal, NAHRI worked to keep the revenue integrity community informed of all the changes. Let’s take a look back at NAHRI’s most-read stories from 2020.